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5.13

Spot a stroke and call 911

If a face droops, an arm drifts, or speech slurs, call 911 at once and note the time.

Front view of a paramedic ambulance parked on a city street.
Photo: RDNE Stock project / Pexels
Area: SafetyFrom age 14Time to learn: 10 minutesPractise in a class

You will recognize the BE FAST signs of stroke and get an ambulance on the way immediately.

SafetyCall 911 even if you are not sure. Heart & Stroke in Canada teaches FAST (Face, Arms, Speech, Time); the CDC's BE FAST adds Balance and Eyes. Both mean the same action: call 911 right away.

Why it matters

Someone in the US has a stroke every 40 seconds (CDC). Calling 911 lets paramedics start treatment on the way and take the person to a hospital that provides urgent stroke care (CDC; Heart & Stroke). The time the symptoms started guides which treatments doctors can use, so it is one of the most useful facts you can give.

How to do it

  1. B, Balance: Is the person suddenly dizzy, off balance, or unable to walk?
  2. E, Eyes: Do they suddenly have trouble seeing?
  3. F, Face: Ask them to smile. Does one side of the face droop?
  4. A, Arms: Ask them to raise both arms. Does one arm drift down?
  5. S, Speech: Ask them to repeat a simple phrase. Is their speech slurred or strange?
  6. T, Time: If you see any of these signs, call 911 right away and say, 'I think this is a stroke.'
  7. Also call 911 for sudden numbness or weakness on one side, sudden confusion, or a sudden severe headache with no known cause.
  8. Note the time symptoms started, or the last time the person was known to be well. Tell the paramedics.
  9. Do not drive them to the hospital, and do not let them drive. Wait for the ambulance.
  10. While you wait, stay with them and reassure them. If they are drowsy, drooling, or having trouble swallowing, place them in the recovery position.

Common mistakes

  • Waiting to see whether the symptoms go away.
  • Driving to the hospital instead of calling an ambulance.
  • Not noting when the symptoms started.
  • Calling a family doctor instead of 911.
You can do this when …you can say what each letter of BE FAST stands for, and the two things to tell 911: that you think it is a stroke, and when symptoms started.
Reading is not training. Practise on a manikin or in a supervised class with the American Red Cross or the American Heart Association, or in Canada with the Heart and Stroke Foundation, St John Ambulance or the Canadian Red Cross.

Sources

  1. CDC - Signs and symptoms of stroke
  2. CDC - Stroke facts
  3. Heart & Stroke Foundation of Canada - Signs of stroke
  4. American Red Cross - Stroke first aid

Sources and numbers last checked . How we check

All lessons

← 5.12 previous lesson: The recovery position · 5.14 → next lesson: Hands-only CPR
1Body16 lessons
  1. 1.1Washing your hands properly
  2. 1.2Getting water out of your ear
  3. 1.3Brushing your teeth for two minutes
  4. 1.4Riding a bike
  5. 1.5Getting up off the floor without your hands
  6. 1.6Slow breathing to calm down
  7. 1.7How to put in a tampon
  8. 1.8How often should you wash your hair
  9. 1.9Reading a nutrition label
  10. 1.10Sleeping with your phone outside the bedroom
  11. 1.11Doing 10 full push-ups
  12. 1.12How to stretch your hip flexors
  13. 1.13How to swaddle a newborn, and when to stop
  14. 1.14Reading a prescription label
  15. 1.15Booking a doctor's appointment and describing symptoms
  16. 1.16Knowing your blood pressure
2Mind15 lessons
  1. 2.1Staying with boredom
  2. 2.2Naming what you feel
  3. 2.3Grounding yourself after a fright
  4. 2.4Letting someone see you upset
  5. 2.5What to wear to a funeral, where to sit, and what to say
  6. 2.6What to write in a sympathy card
  7. 2.7Focusing for 25 minutes
  8. 2.8How to stop overthinking
  9. 2.9The 988 crisis line
  10. 2.10Changing your mind when the evidence changes
  11. 2.11The 7 stages of grief, and why grief comes in waves instead
  12. 2.12Telling a friend you're not okay
  13. 2.13Knowing when stress needs professional help
  14. 2.14Building a habit by tying it to an old one
  15. 2.15Spending an evening alone without screens
3People17 lessons
  1. 3.1Introducing yourself and asking a question back
  2. 3.2Asking a question in front of a group
  3. 3.3Apologising properly
  4. 3.4Disagreeing without insults
  5. 3.5Writing a clear email, subject line to sign-off
  6. 3.6Comforting someone who is crying
  7. 3.7What to say to someone who lost a loved one
  8. 3.8Saying no without an excuse
  9. 3.9Phoning a business
  10. 3.10How to burp a newborn
  11. 3.11Asking for consent
  12. 3.12Resigning from a job in writing
  13. 3.13Answering interview questions with the STAR method
  14. 3.14Walking into a room of strangers
  15. 3.15How to write an obituary
  16. 3.16Speaking up in a meeting
  17. 3.17Pausing an argument
4Money17 lessons
  1. 4.1Counting back change
  2. 4.2Comparing unit prices
  3. 4.3Endorsing and depositing a check
  4. 4.4How do you write a check
  5. 4.5Setting up direct deposit with a void check
  6. 4.6Why minimum payments cost so much
  7. 4.7The rule of 72
  8. 4.8What does APR mean on a credit card
  9. 4.9Making a monthly budget
  10. 4.10Reading a contract to find how to cancel
  11. 4.11What is a high yield savings account
  12. 4.12What is a contingent beneficiary, and how to name one
  13. 4.13Filing your own tax return
  14. 4.14How retirement accounts save you tax
  15. 4.15Index funds and why fees matter
  16. 4.16Ask for a raise with a number
  17. 4.17Know how long your savings would last
5Safety17 lessons
  1. 5.1Call 911 and give your location
  2. 5.2Plan two ways out in a fire
  3. 5.3Sheltering from a tornado: watch vs. warning
  4. 5.4The five water survival skills
  5. 5.5Test a smoke alarm and change its battery
  6. 5.6Cool a burn with running water
  7. 5.7AED pad placement: how to use an AED
  8. 5.8Carbon monoxide detector beeping: what it means and what to do
  9. 5.9Put out a pan fire with a lid
  10. 5.10How is a fire extinguisher used? The PASS method
  11. 5.11Stop heavy bleeding
  12. 5.12The recovery position
  13. 5.13Spot a stroke and call 911 · You are here
  14. 5.14Hands-only CPR
  15. 5.15Help a choking adult
  16. 5.16Respond to an opioid overdose with naloxone
  17. 5.17When can an infant car seat face forward
6Information16 lessons
  1. 6.1Work out a tip in your head
  2. 6.2Why gift card payment means scam
  3. 6.3Wrong number text scam, and how to spot other scam texts
  4. 6.4How to turn off location on iPhone and Android
  5. 6.5Working out percent change
  6. 6.6Spot a phishing message
  7. 6.7How to block spam calls on iPhone and Android
  8. 6.8Turn on two-factor login for email
  9. 6.9How to check if your phone is hacked
  10. 6.10Trace a claim before you share it
  11. 6.11Check an AI chatbot's answer
  12. 6.12Spot a bar chart that exaggerates
  13. 6.13Hang up on a 'bank' caller
  14. 6.14What never to paste into an AI chatbot
  15. 6.15Self-reported vs measured numbers
  16. 6.16Relative risk vs absolute risk
7Kitchen17 lessons
  1. 7.1How to set a table
  2. 7.2Cracking an egg cleanly
  3. 7.3Following a recipe and measuring accurately
  4. 7.4Using an oven safely
  5. 7.5How to tell if an egg is bad
  6. 7.6Boiling an egg to the yolk you want
  7. 7.7How to cook rice on the stove
  8. 7.8How long is cooked chicken good for in the fridge
  9. 7.9Chopping an onion with the claw grip
  10. 7.10Storing raw meat safely in the fridge
  11. 7.11Reading food date labels
  12. 7.12How to thaw chicken fast
  13. 7.13How to season cast iron
  14. 7.14Cooking chicken to a safe temperature
  15. 7.15Five dinners you can cook from memory
  16. 7.16Planning a week of dinners with one shopping trip
  17. 7.17Cooking dinner for six, all ready at once
8Home17 lessons
  1. 8.1Making a bed with tucked corners
  2. 8.2Removing sticker residue
  3. 8.3Cleaning a toilet properly
  4. 8.4How to clean a shower
  5. 8.5How to get blood out of clothes
  6. 8.6Laundry symbols: how to read a care label
  7. 8.7Doing a load of laundry
  8. 8.8Cleaners you must never mix
  9. 8.9How to get rid of fruit flies
  10. 8.10Unblocking a toilet with a plunger
  11. 8.11Resetting a tripped breaker
  12. 8.12Building a 72-hour emergency kit
  13. 8.13Shutting off the water
  14. 8.14Reading a utility bill
  15. 8.15How to clean a dryer vent
  16. 8.16Recording a rental's condition on move-in day
  17. 8.17Splitting chores with a housemate
9Hands18 lessons
  1. 9.1Tying shoelaces that stay tied
  2. 9.2How to wrap a present
  3. 9.3Addressing an envelope
  4. 9.4Tying a square knot (reef knot)
  5. 9.5How to tie a clove hitch
  6. 9.6Reading a tape measure
  7. 9.7Hammering a nail in straight
  8. 9.8How to fix a separated zipper
  9. 9.9Sewing on a button that stays on
  10. 9.10Tying a bowline
  11. 9.11How to remove a stripped screw
  12. 9.12Hanging a heavy picture securely
  13. 9.13Tying a four-in-hand necktie knot
  14. 9.14How to put air in tires
  15. 9.15How to change windshield wipers
  16. 9.16Checking the oil and other fluids under the hood
  17. 9.17Assembling flat-pack furniture
  18. 9.18Changing a flat tire

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